Registration

Student Information
Full Name*
First Name Last Name
Hebrew Name
Birth Date*

Month Day Year
Jewish Birthday
Help us figure out the Jewish Birthday!*

born during the dayborn in the evening/night (after sunset)born at dusk/sunset

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

School*
Grade as of September 2024*
Does your child currently attend PS 24 after school program?

YesNo
Is your child currently receiving services? If yes, please specify.
Previous Jewish Education
Check which apply:*

Mother born JewishMother converted
Have there been any conversions or adoptions in the family?*

YesNo
Name of Rabbi who performed the conversion*
Additional Comments
I allow my child's photo to be used on our website and social media/promotional*

YesNo
Parents Information
Father's Name* or guardian
First Name Last Name
Father's Hebrew Name
Father's Cell*

Area Code Phone Number
Father's E-mail*
Mother's Name* or guardian
First Name Last Name
Mother's Hebrew Name
Mother's Cell*

Area Code Phone Number
Mother's E-mail*
Best way to send Hebrew School updates:

Cell PhoneEmailHandout
I am willing to assist in school activities, please contact me
Transportation:*

I would like transportation from PS 24 to Chabad at 2:15I will bring my child to Chabad of Riverdale at 2:30
Pick up information: Pick up is at 4:30 PM at Chabad of Riverdale.
Please upload completed Release Form*
Click here for Release Form
Emergency File
Doctor's name*
Doctor's phone number*

Area Code Phone Number
Allergies *
Medical Conditions*
Emergency Contact*
First Name Last Name
Phone Number*

Area Code Phone Number
Relationship*
Payment
Tuition is $1150 for the year - including all supplies.
Financial assistance is available - please call 718-549-1100

Early Bird Discount: Register before July 15th - $100 off!
Referal Discount: $100 off for every NEW family that registers through you.
Tuition *

$1150
I have a referred a NEW family to register for Chabad Hebrew School.
Name of the family I referred*
Tuition * Referral Discount

$1050
Discounted Sunday Holiday Clubs for Hebrew School Students!
ONLY $50 for all 7 interactive clubs throughout the year. See club details here.
(Non-HS students: $125)
Sunday Holiday Clubs

$50
Payment agreement*

I agree to have the balance of my tuition divided over 2 more payments, on the first of the next 2 months.Click here for Financial Assistance
Total

$2200.00

I would like to pay today:Full amount$0.00 minimum$

Payment*

Credit Card Other

Postal / Zip Code

Country

Please confirm CC Security Code*
Should be Empty:

This page uses TLS encryption to keep your data secure.

Student Information

Parents Information

Emergency File

Payment